Individual provider Active NPI

Lynn Deang

  • Physical Therapist
  • Wesley Chapel, FL
National Provider Identifier
1629614649
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT26292 Issued in FL
Practice address
2136 Ashley Oaks Cir Ste 102
Wesley Chapel, FL 33544-6902
Phone
(813) 602-6004
Fax
(813) 501-3359
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT26292 FL Primary

Addresses

Primary practice location

2136 Ashley Oaks Cir Ste 102
Wesley Chapel, FL 33544-6902

Mailing address

PO Box 7439
Wesley Chapel, FL 33545-0108
Phone (813) 602-6004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT26292FLMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1629614649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7439",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335450108",
            "telephone_number": "813-602-6004",
            "fax_number": "813-501-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2136 ASHLEY OAKS CIR STE 102",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446902",
            "telephone_number": "813-602-6004",
            "fax_number": "813-501-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANG",
        "first_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.